中国康复理论与实践2018，Vol.24Issue(2)：179-183,5.DOI:10.3969/j.issn.1006-9771.2018.02.012
高频重复经颅磁刺激对脑卒中患者手功能康复的疗效
Effect of High-frequency Repetitive Transcranial Magnetic Stimulation on Hand Function in Pa-tients after Stroke
摘要
Abstract
Objective To observe the effect of high-frequency repetitive transcranial magnetic stimulation(rTMS)on hand function in patients after stroke. Methods From June,2016 to September,2017,30 stroke patients were randomly divided into control group(n=30)and experimental group(n=30).Both groups received routine training after sham rTMS or 3 Hz rTMS.Fugl-Meyer Assessment(FMA),modified Ashworth Scale(MAS)and modified Barthel Index(MBI)were used to evaluate the hand function and the activities of daily living before and after treatment. Results Finally 27 patients completed the experiment.After treatment, the FMA score increased in both groups (Z>2.070, P<0.05), and the difference value was higher in the experimental group than in the control group (Z=-2.296,P<0.05);the MAS score improved in the experimental group(Z=-2.456,P<0.05),no difference was found in the control group(Z=-0.816,P>0.05),and the difference value was higher in the experimental group than in the control group(Z=-2.792,P<0.01);the MBI score improved in both groups(t>3.085,P<0.01),howev-er,no difference was found in the MBI score and the difference value between two groups(t<0.246,P>0.05). Conclusion High-frequency rTMS could promote the hand function in patients after stroke.关键词
脑卒中/手功能/重复经颅磁刺激/高频Key words
stroke/hand function/repetitive transcranial magnetic stimulation/high-frequency分类
医药卫生引用本文复制引用
肖长林,潘翠环,陈艳,叶正茂,付桢,姜荣荣,林文倩,罗丽娟..高频重复经颅磁刺激对脑卒中患者手功能康复的疗效[J].中国康复理论与实践,2018,24(2):179-183,5.基金项目
广州市教育局广医大创新强校质量工程项目(No.B16021008)Supported by The Municipal Bureau of Education Guangzhou Medical University Innovation Quality Project(No.B16021008) （No.B16021008）
